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pay for performance

Taichi Kosugi, Hirofumi Nishi, Yoritaka Furukawa, Yu-Ichiro Matsushita
We demonstrate in the present study that self-consistent calculations based on the self-energy functional theory (SFT) are possible for the electronic structure of realistic systems in the context of quantum chemistry. We describe the procedure of a self-consistent SFT calculation in detail and perform the calculations for isolated 3d transition metal atoms from V to Cu as a preliminary study. We compare the one-particle Green's functions obtained in this way and those obtained from the coupled-cluster singles and doubles method...
June 14, 2018: Journal of Chemical Physics
Barbara Fischer, Harry Telser, Peter Zweifel
Healthcare expenditure (HCE) spent during an individual's last year of life accounts for a high share of lifetime HCE. This finding is puzzling because an investment in health is unlikely to have a sufficiently long payback period. However, Becker et al. (2007) and Philipson et al. (2010) have advanced a theory designed to explain high willingness to pay (WTP) for an extension of life close to its end. Their testable implications are complemented by the concept of 'pain of risk bearing' introduced by Eeckhoudt and Schlesinger (2006)...
June 7, 2018: Journal of Health Economics
Maryam Yaghoubi, Mazyar Karamali, Mohammadkarim Bahadori
One of the requirements for the implementation of Health Promoting Hospitals (HPHs) is comprehensive integration of health promotion (HP) activities and programs in hospital quality management system. Therefore, this systematic review was conducted utilizing a comprehensive European Foundation for Quality Managment (EFQM) model to determine appropriate criteria for the implementation and development of HPH. This systematic review considered the published literature on factors affecting the implementation and development of HPH during 1997-2016...
June 13, 2018: Health Promotion International
R El Arab, M Sagbakken
Background: This review aims to explore the healthcare needs and access to healthcare services among Syrian refugees in Jordan. Furthermore, it identifies possible ways of responding to such needs within the framework of the structural challenges faced in this particular context. Methods: Through qualitative techniques, this study systematically reviewed nine articles identified in academic and international organizations' databases. Six articles are from scholarly sources, while three are published reports or commentary articles; thus, there are variations in methodological rigour...
June 13, 2018: European Journal of Public Health
Paul Spiegel, Rebecca Chanis, Antonio Trujillo
BACKGROUND: More than 65 million persons are currently forcibly displaced, of whom more than 22 million are refugees. Conflicts are increasing, and existing ones are becoming more protracted; a refugee remains a refugee for more than 10 years. Funding for refugee assistance comes primarily from high-income countries after an emergency has occurred. The United Nations High Commissioner for Refugees spent approximately 12% of its budget on health, nutrition, food security, water, and sanitation in 2016...
June 15, 2018: BMC Medicine
Vivek Navale, Philip E Bourne
Biomedical research has become a digital data-intensive endeavor, relying on secure and scalable computing, storage, and network infrastructure, which has traditionally been purchased, supported, and maintained locally. For certain types of biomedical applications, cloud computing has emerged as an alternative to locally maintained traditional computing approaches. Cloud computing offers users pay-as-you-go access to services such as hardware infrastructure, platforms, and software for solving common biomedical computational problems...
June 2018: PLoS Computational Biology
M J Hossain, S Xie
Background: We performed the first epidemiologic investigation to examine association of demographics and clinical characteristics at diagnosis, as well as health care expense coverage, with survival of US children with aplastic anemia (AA). Methods: We obtained electronic medical record data of 1140 children aged 0-19 years diagnosed with AA followed at a pediatric health system between 2004 and 2014. Kaplan-Meier curve and Cox proportional hazards regressions were used...
June 13, 2018: Journal of Public Health
Chang-Qin Huang, Shang-Ming Yang, Yan Pan, Han-Jiang Lai
Learning-based hashing is a leading approach of approximate nearest neighbor search for large-scale image retrieval. In this paper, we develop a deep supervised hashing method for multi-label image retrieval, in which we propose to learn a binary "mask" map that can identify the approximate locations of objects in an image, so that we use this binary "mask" map to obtain length-limited hash codes which mainly focus on an image's objects but ignore the background. The proposed deep architecture consists of four parts: 1) a convolutional sub-network to generate effective image features; 2) a binary "mask" sub-network to identify image objects' approximate locations; 3) a weighted average pooling operation based on the binary "mask" to obtain feature representations and hash codes that pay most attention to foreground objects but ignore the background; and 4) the combination of a triplet ranking loss designed to preserve relative similarities among images and a cross entropy loss defined on image labels...
September 2018: IEEE Transactions on Image Processing: a Publication of the IEEE Signal Processing Society
Chris Hummel, Paul R Geisler, Tim Reynolds, Todd Lazenby
BACKGROUND:   Although athletes are typically at low risk for developing venous thromboembolism (VTE), injured and noninjured athletes alike can be exposed to many acquired risk factors, including intense training, dehydration, trauma, immobilization, oral contraceptive use, and long-distance travel. Additionally, the risk of developing VTE might be increased by unidentified genetic clotting disorders. Due to the potential for fatal outcomes, knowledge of VTE pathoetiology and recognition of deep vein thrombosis (DVT) presentation should be an inherent part of the evaluation process for all who attend to athletes, regardless of age and apparent risk profile...
June 12, 2018: Journal of Athletic Training
Jared Lane K Maeda, Lyle Nelson
The prices that private insurers pay hospitals have received considerable attention in recent years, but most of that literature has focused on the commercially insured population. Although nearly one-third of Medicare beneficiaries are enrolled in a Medicare Advantage (MA) plan, little is known about the prices paid to hospitals by the private insurers that administer such plans. More information on the hospital prices paid by MA plans would provide additional insights into whether MA prices are more closely tied to Medicare fee-for-service (FFS) prices or commercial prices...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
G Defeudis, R Mazzilli, D Gianfrilli, A Lenzi, A M Isidori
Adult-onset hypogonadism is a syndrome often underdiagnosed, undertreated, or incompletely explored. There are various reasons for this: firstly, undefined age range of men in whom testosterone levels should be investigated and then no definitive serum cutoff point for the diagnosis of hypogonadism; and finally, variable and non-specific signs and symptoms; men and physicians do not pay adequate attention to sexual health. All these factors make the diagnostic criteria for hypogonadism controversial. The evaluation of the clinical features and causes of this syndrome, its link with age, the role of testosterone and other hormone levels, and the presence of any comorbidities are all useful factors in the investigation of this population...
June 10, 2018: Andrology
Ferdinand Köckerling, Maarten P Simons
With more than 20 million patients annually, inguinal hernia repair is one of the most often performed surgical procedures worldwide. The lifetime risk to develop an inguinal hernia is 27-43% for men and 3-6% for women. In spite of all advances, 11% of all patients suffer from a recurrence and 10-12% from chronic pain following primary inguinal hernia repair. By developing evidence-based guidelines and recommendations, the international hernia societies aim to improve the outcome of inguinal hernia repair due to standardization of care...
April 2018: Visceral Medicine
Shunya Nakayama, Hiroshi Koie, Kiichi Kanayama, Yuko Katakai, Yasuyo Ito-Fujishiro, Tadashi Sankai, Yasuhiro Yasutomi, Naohide Ageyama
Cardiovascular disease (CVD) has a tremendous impact on the quality of life of humans. While experimental animals are valuable to medical research as models of human diseases, cardiac systems differ widely across various animal species. Thus, we examined a CVD model in cynomolgus monkeys. Laboratory primates are precious resources, making it imperative that symptoms of diseases and disorders are detected as early as possible. Thus, in this study we comprehensively examined important indicators of CVD in cynomolgus monkeys, including arterial blood gas, complete blood count (CBC), biochemistry, and cardiac hormones...
June 11, 2018: Journal of Veterinary Medical Science
Allan T Daly, Ashish A Deshmukh, Damon J Vidrine, Alexander V Prokhorov, Summer G Frank, Patricia D Tahay, Maggie E Houchen, Scott B Cantor
BACKGROUND: The prevalence of cigarette smoking is significantly higher among those living at or below the federal poverty level. Cell phone-based interventions among such populations have the potential to reduce smoking rates and be cost-effective. METHODS: We performed a cost-effectiveness analysis of three smoking cessation interventions: Standard Care (SC) (brief advice to quit, nicotine replacement therapy and self-help written materials), Enhanced Care (EC) (SC plus cell phone-delivered messaging) and Intensive Care (IC) (EC plus cell phone-delivered counselling)...
June 9, 2018: Tobacco Control
R Ricciu, A Galatioto, G Desogus, L A Besalduch
Today, evaluation of thermohygrometric indoor conditions is one of the most useful tools for building design and re-design and can be used to determine energy consumption in conditioned buildings. Since the beginning of the Predicted Mean Vote index (PMV), researchers have thoroughly investigated its issues in order to reach more accurate results; however, several shortcomings have yet to be solved. Among them is the uncertainty of environmental and subjective parameters linked to the standard PMV approach of ISO 7730 that classifies the thermal environment...
June 6, 2018: Journal of Environmental Management
Sara V Flanagan, Jessie A Gleason, Steven E Spayd, Nicholas A Procopio, Megan Rockafellow-Baldoni, Stuart Braman, Steven N Chillrud, Yan Zheng
Exposure to naturally occurring arsenic in groundwater is a public health concern, particularly for households served by unregulated private wells. At present, one of the greatest barriers to exposure reduction is a lack of private well testing due to difficulties in motivating individual private well owners to take protective actions. Policy and regulations requiring testing could make a significant contribution towards universal screening of private well water and arsenic exposure reduction. New Jersey's Private Well Testing Act (PWTA) requires tests for arsenic during real estate transactions; however, the regulations do not require remedial action when maximum contaminant levels (MCLs) are exceeded...
June 5, 2018: International Journal of Hygiene and Environmental Health
Lesia Lymar, Sergii Omelchuk
OBJECTIVE: Introduction: The article is dedicated to the motives of medical career choice studied by Ukrainian and foreign scientists, and by the authors themselves. The authors define the main motives, grouped into the pragmatic, social, scientific and professional ones, paying particular attention to the proposed reforms of the Healthcare of Ukraine "Health 2020". The aim: The study has been aimed at detection of the medical career choice factor groups and their possible correction during the medical training, defining possible influence of the Ukrainian Healthcare reformation onto alterations of the medical career choice...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
S Podlipnik, D Moreno-Ramírez, C Carrera, A Barreiro, E Manubens, L Ferrándiz-Pulido, M Sánchez, S Vidal-Sicart, J Malvehy, S Puig
BACKGROUND: Many follow-up guidelines for high-risk melanoma patients include expensive imaging studies, serum biomarkers, and regular visits to the dermatologist with little attention to cost-effectiveness. OBJECTIVES: To establish the cost-effectiveness of chest-abdomen-pelvis CT-scan and brain MRI in a follow-up protocol for patients at high risk of relapse. METHODS: Prospective single-center cohort study of 290 melanoma patients with clinicopathological AJCC stages IIB, IIC and III...
June 7, 2018: British Journal of Dermatology
Paula M Lantz, George Miller, Corwin N Rhyan, Sara Rosenbaum, Leighton Ku, Samantha Iovan
Policy Points: The Pay for Success (PFS) financing approach has potential for scaling the implementation of evidence-based prevention interventions in Medicaid populations, including a range of multicomponent interventions for childhood asthma that combine home environment risk mitigation with medical case management. Even though this type of intervention is efficacious and cost-saving among high-risk children with asthma, the main challenges for implementation in a PFS context include legal and regulatory barriers to capturing federal Medicaid savings and using them as a source of private investor repayment...
June 2018: Milbank Quarterly
Tomohiko Harunari, Yukio Sekiguchi, Kojiro Ogawa, Kenji Kuroki, Miyako Igarashi, Akihiko Nogami, Kazutaka Aonuma
OBJECTIVES: The purpose of this study was to examine the factors affecting the outcome of successful lead extraction with an excimer laser sheath, which have not been clearly elucidated. METHODS: Between January 2011 and December 2016 in our institution, 372 leads were intravenously extracted from 176 patients (mean age, 67 ± 15 years; 83% male) with the use of an excimer laser sheath. The mean time since lead implantation was 7.1 ± 6.7 years. Indications for this procedure were infection (76...
June 3, 2018: Interactive Cardiovascular and Thoracic Surgery
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